MS-DRG 414Surgical
Cholecystectomy Except by Laparoscope without C.D.E. with MCC
Major Diagnostic Category 07·Grouped by procedure·FY 2027
MS-DRG 414 is a Surgical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 07 (MDC 07) with a Major Complication or Comorbidity (MCC). For FY 2027 it carries a relative weight of 3.6402 with a geometric mean length of stay of 7.4 days and an arithmetic mean of 9.5 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.
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FY 2027 payment data
From Table 5 of the FY 2027 IPPS Final Rule (CMS).
- Relative weight:
- 3.6402 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 7.4 days (used for transfer payments)
- Average stay:
- 9.5 days (arithmetic mean)
- Post-acute transfer policy:
- Yes (early transfers can be paid less)
Same condition, other severity levels
CMS splits one condition into separate DRGs by how sick the patient is. With MCC pays more than with CC, which pays more than without CC/MCC.
Procedure codes (7)
ICD-10-PCS procedures that can group a stay to DRG 414.
- 0F540Z3Destruction of Gallbladder using Laser Interstitial Thermal Therapy, Open Approach
- 0F540ZZDestruction of Gallbladder, Open Approach
- 0F543Z3Destruction of Gallbladder using Laser Interstitial Thermal Therapy, Percutaneous Approach
- 0F543ZZDestruction of Gallbladder, Percutaneous Approach
- 0FB40ZZExcision of Gallbladder, Open Approach
- 0FB43ZZExcision of Gallbladder, Percutaneous Approach
- 0FT40ZZResection of Gallbladder, Open Approach